Cost of a Hernia Repair Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense healthcare infrastructure supports over 6,400 active Hernia Repair providers across the state's 21 counties, making it one of the most provider-rich markets in the region. Based on recent negotiated rate data, patients typically pay between $309 and $1,435 for Hernia Repair visits, with a median cost of $475. Browse all Hernia Repair providers in New Jersey to find the best match for your needs and budget.
Average
$740
Median
$475
Lowest
$309
Highest
$1,435
Providers
6,484
12% below national average
Compare Similar Procedures
How does inguinal hernia repair compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $952 | $1,422 | $4,588 | 6,486 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $953 | $1,424 | $4,590 | 6,528 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $364 | $625 | $1,380 | 6,526 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $412 | $578 | $1,845 | 6,494 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $388 | $664 | $1,827 | 6,521 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $340 | $546 | $1,669 | 6,585 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $627 | $1,045 | $2,093 | 6,519 |
| Septoplasty Nasal septum repair | 30520 | $406 | $566 | $1,411 | 6,484 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $170 | $273 | $833 | 6,523 |
| Mastectomy Partial or simple mastectomy | 19301 | $314 | $558 | $1,446 | 6,513 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $265 | $519 | $2,119 | 6,490 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 49505 — Repair initial inguinal hernia, age 5 or older). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 49505 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 49505 (Repair initial inguinal hernia, age 5 or older), as mandated by the CMS Price Transparency Rule.
What CPT 49505 covers: the provider's professional fee for inguinal hernia repair. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in New Jersey
These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BROWNS MILLS, NJ
MORRISTOWN, NJ
ENGLEWOOD, NJ
PLAINSBORO, NJ
PARAMUS, NJ
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Hernia Repair Visit Costs Vary Across New Jersey
Healthcare costs in New Jersey run approximately 17% above national averages, driven by the state's high cost of living and concentrated population centers. The Garden State's proximity to major metropolitan areas creates unique pricing pressures that affect surgical specialty care.
Urban vs. Rural Provider Availability
Northern New Jersey's proximity to New York City creates intense competition among surgical practices, while South Jersey's more rural counties may have fewer options but lower overhead costs. The concentration of academic medical centers around Newark and New Brunswick tends to drive up regional pricing through higher facility fees.
Facility Type and Overhead Costs
Major health systems like RWJBarnabas Health and Hackensack Meridian dominate New Jersey's surgical landscape, often charging premium rates through hospital-based outpatient departments. Independent surgical centers and ambulatory surgery facilities typically offer more competitive pricing for routine hernia repairs.
Insurance Market Competition in New Jersey
While Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare provide reasonable market competition, their negotiated rates with major health systems create price stability that may not always benefit consumers. The state's regulatory environment supports moderate insurer competition without the aggressive rate negotiations seen in more deregulated markets.
Physician Supply and Demand in New Jersey
With over 6,400 active providers performing hernia repairs across the state, New Jersey enjoys robust surgical capacity that should theoretically moderate pricing. However, high population density and proximity to major metropolitan areas maintain steady demand that prevents significant price competition among established practices.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Hernia Repair Costs in New Jersey
What is the average cost of a Hernia Repair visit in New Jersey without insurance?
Does New Jersey Medicaid cover Hernia Repair visits?
How do I find an affordable Hernia Repair near me in New Jersey?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hernia Repair visit in New Jersey?
How does telemedicine affect the cost of seeing a Hernia Repair in New Jersey?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 49505)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $4,031 | $1,784 |
| 2 | Iowa Range: $457 – $2,449 | $1,346 |
| 3 | Alaska Range: $440 – $2,338 | $1,154 |
| 4 | Massachusetts Range: $397 – $2,168 | $1,133 |
| 5 | Montana Range: $378 – $2,328 | $1,120 |
| 6 | Georgia Range: $421 – $1,969 | $1,097 |
| 7 | South Dakota Range: $439 – $2,034 | $1,081 |
| 8 | Wyoming Range: $628 – $1,642 | $1,050 |
| 9 | New Hampshire Range: $504 – $1,521 | $1,002 |
| 10 | Nebraska Range: $637 – $1,214 | $994 |
| 11 | Washington Range: $592 – $1,594 | $984 |
| 12 | Minnesota Range: $344 – $1,787 | $970 |
| 13 | Rhode Island Range: $440 – $1,521 | $940 |
| 14 | North Dakota Range: $437 – $1,537 | $894 |
| 15 | Maine Range: $630 – $1,022 | $883 |
| 16 | Utah Range: $374 – $1,150 | $883 |
| 17 | California Range: $423 – $1,216 | $871 |
| 18 | Oregon Range: $440 – $1,399 | $866 |
| 19 | North Carolina Range: $426 – $1,453 | $859 |
| 20 | District of Columbia Range: $381 – $1,221 | $834 |
| 21 | Connecticut Range: $368 – $1,435 | $824 |
| 22 | New Mexico Range: $465 – $1,226 | $821 |
| 23 | West Virginia Range: $381 – $1,378 | $806 |
| 24 | Missouri Range: $493 – $1,027 | $804 |
| 25 | Colorado Range: $441 – $1,242 | $798 |
| 26 | Michigan Range: $440 – $1,216 | $797 |
| 27 | Delaware Range: $330 – $1,435 | $789 |
| 28 | Illinois Range: $90 – $1,569 | $789 |
| 29 | Pennsylvania Range: $333 – $1,448 | $781 |
| 30 | Idaho Range: $438 – $1,197 | $775 |
| 31 | Hawaii Range: $426 – $1,149 | $769 |
| 32 | New York Range: $364 – $1,435 | $768 |
| 33 | Kentucky Range: $396 – $1,220 | $763 |
| 34 | Vermont Range: $391 – $1,271 | $753 |
| 35 | Arkansas Range: $461 – $1,043 | $746 |
| 36 | New Jersey Range: $309 – $1,435 | $740 |
| 37 | Indiana Range: $90 – $1,448 | $722 |
| 38 | Mississippi Range: $409 – $1,251 | $718 |
| 39 | Tennessee Range: $440 – $1,016 | $705 |
| 40 | South Carolina Range: $391 – $1,170 | $705 |
| 41 | Texas Range: $407 – $1,086 | $699 |
| 42 | Alabama Range: $356 – $1,111 | $688 |
| 43 | Louisiana Range: $383 – $1,052 | $681 |
| 44 | Kansas Range: $493 – $872 | $667 |
| 45 | Virginia Range: $358 – $1,079 | $664 |
| 46 | Maryland Range: $381 – $1,079 | $653 |
| 47 | Oklahoma Range: $429 – $991 | $647 |
| 48 | Ohio Range: $328 – $1,039 | $638 |
| 49 | Nevada Range: $423 – $859 | $596 |
| 50 | Arizona Range: $432 – $882 | $585 |
| 51 | Florida Range: $35 – $920 | $337 |
